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Exceedance of APOT Standards -- Required Actions.

22 CCR 100007.02

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22 CCR 100007.02

22 CCR 100007.02

§ 100007.02. Exceedance of APOT Standards -- Required Actions. If a GACH with an emergency department is identified as exceeding the LEMSA's adopted standard for the preceding month, EMSA shall initiate the following actions:

(a)

Electronically notify the relevant LEMSA and the Commission on Emergency Medical Services of the exceedance within five (5) business days of verification;

(b)

Direct the LEMSA to issue a notification to all EMS transport provider agencies operating within its jurisdiction regarding the GACH's APOT exceedance;

(c)

Direct the GACH to implement its APOT reduction protocol no later than five (5) business days after notification;

(d)

Convene and host bi-weekly coordination calls and/or virtual meetings with designated representatives from hospital administration, emergency department leadership, hospital employees, the LEMSA(s), and the affected EMS transport provider agency or agencies;

(1)

These EMSA-hosted bi-weekly meetings shall be used to review APOT reduction protocol implementation, address operational barriers, monitor outcomes, review the data validation tool, and propose corrective actions;

(2)

Meetings shall continue until such time as the GACH demonstrates sustained compliance with the adopted APOT standard for two (2) consecutive reporting periods.